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HomeMy WebLinkAboutPermit Electrical 2001-3-7 22.5 FIFTH STREET SflUNGFIF.LD, oREGON OFFICE: '-2f; FIFTH STRFFT SPRINGFIELD. OR 9f4// (541.1126-3753 FAX (541) 7:.'6-3689 ELECTRICAL PERK!T APPLICATION City Job Number 0\ .t{X)~\.o1 3. COMPLETE FEE SCREDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ~\C1UfS~~() I JOB pESCRIPTIoN ~ ~nl'. ~c:::., Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALl.ATION ONLY Electrical Contractor---J.ll,':' ".'_,,':TRIC INC Address 85783 HWY 99 SOUTH City EUGENE Phone 741=0494 Supervisor License Number 40795 Expiration Date 10/01LD! Conser Caner. Number 20-403C Expiration Date 10/01/01 '~"'cl~ &Irs Nam~\\f\ (-:;()J'(\n.,L. Address~D~~ ~l~ Ci ty ~ (\ 9- Phonel-4:to ?-l2..'l. OWNER INSTAI.UTION The installatIon 1s being made on property I own which is not intended for sale, lease or rent. Owners Signature: SOD: ;>-nXH!=:H'l ~~~~~~~~-~I:;---------- 1:00<::, .. Jell OG9~0 - . s~~r: ro',i Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each KaDuf'd Home or Modular Dwelling Service or Feeder H. Services or Feeders Installation, Alterations or Relocationl 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t Only $ 85.00 $ 15.00 $ 40.00 S 50.00 s 60.00 5100.00 5130.00 5300.00 $ 40.00 c. Temporary Servi~es or Feeders Installation, Alteration or Relocation zoo amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 vous D. Branch Circuits Nev, Alteration or Extension Per Panel S 35.00 One Circuit Each Additional Circuit or ~ith Service or Feeder Permit ~ $ $ 40.00 $ 55.00 $ 80.00 sce liB" above _1- 2Q 4 2.00 not included; Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 60.00 $ 40.00 S 20.00 S 36.00 ~q.cV r{J.~ , 'Iv') ~2.. ")